THORACIC OUTLET SYNDROM (TOS)

THORACIC OUTLET SYNDROM (T.O.S.) Lucien MATYSIAK Vascular Surgery – L. Pasteur Hospital COLMAR - FRANCE

ANATOMY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

1) The intercosto-scalenic defile

4) Pectoralis minor muscle and coracoid process

Anatomical abnormalities (1) ,[object Object],[object Object],[object Object]

Anatomical abnormalities (2) ,[object Object],[object Object],[object Object]

Anatomical abnormalities (3) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Signs and symptoms of T.O.S. (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Signs and symptoms of T.O.S. (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Signs and symptoms of T.O.S. (3) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PATIENT EXAMINATION (1) ,[object Object],[object Object],[object Object]

PATIENT EXAMINATION (2) ,[object Object],[object Object]

PATIENT EXAMINATION (3) ,[object Object],[object Object]

ADDITIONNAL TESTS (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ADDITIONNAL TESTS (2) ,[object Object],[object Object],May show venous compression after arm abduction May show aneurysms related to compression with T.O.S.

TREATMENT OF THORACIC OUTLET SYNDROM ,[object Object],[object Object],[object Object],[object Object]

TREATMENT OF T.O.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TREATMENT OF T.O.S. ,[object Object],[object Object]

SURGICAL TREATMENT OF T.O.S. ,[object Object],[object Object],[object Object],[object Object],[object Object]

SURGICAL TREATMENT OF T.O.S. ,[object Object],[object Object]

SURGICAL TREATMENT OF T.O.S. ,[object Object],[object Object],The secret of 1 st rib resection in this technique is discontinued traction 5 minutes !

SURGICAL TREATMENT OF T.O.S. ,[object Object],[object Object],[object Object],[object Object]

INDICATIONS OF SURGICAL TREATMENT OF T.O.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SURGICAL TREATMENT OF T.O.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONCLUSIONS ,[object Object],[object Object],[object Object],[object Object],[object Object]

THORACIC OUTLET SYNDROM (TOS)

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